Michael Bordonaro, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13253 Issued in CT

Practice address

1090 Meriden Waterbury Tpke
Plantsville, CT 06479-2055

Phone

(203) 272-8490

NPI assigned

Aug 19, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York UniversityGroup PAC ID 1355232422, shared by 41 NPIs, 5,925 clinicians

Metro Physical Occupational Speech Massage Therapy and Acupuncture PLLGroup PAC ID 1254553639, 448 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.35 of 100Reported as group

Quality

73.31

Improvement activities

40

Cost

73.42

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC

  • Occupational Therapist
  • Garden City, NY
  • NPI 1356742365

  Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1932875960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MAPLE RD",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801730",
            "telephone_number": "860-558-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 MERIDEN WATERBURY TPKE",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064792055",
            "telephone_number": "203-272-8490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Chapel St",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "064922213",
            "country_code": "US",
            "telephone_number": "203-741-9948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72 Pine St Unit A",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060106960",
            "country_code": "US",
            "telephone_number": "860-585-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDONARO",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Ann Berglund, OTR/L
• Bio-Medical Applications of Connecticut, Inc.
• Ewa Blaszczyk
• Blossom Counseling Services LLC
• Blue Ocean Family Chiropractic
• Bright Futures Consulting LLC
• Gino Anthony Brino, DMD
• Samela Mariano Brown, PA-C
• Kimberly A Bumbera, NURSE PRACTITIONER
• Erica Burdon

• Physical Therapist in Plantsville, CT
• Providers in Plantsville, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.